# CANANDAIGUA DENTAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** V, Brain Gagliardi, DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114064938
- **Authorized official:** MR. JO ANNA S GAGLIARDI (ADMINISTRATOR)
- **Authorized official phone:** (585) 394-5910

## Contact information

- **Practice address:** 317 S MAIN ST, CANANDAIGUA, NY 14424-2118
- **Practice address phone:** (585) 394-5910
- **Mailing address:** 317 S MAIN ST, CANANDAIGUA, NY 14424-2118
- **Mailing address phone:** (585) 394-5910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 045901 | NY | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020